Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN L HALBACH, D.O.
Active Sole ProprietorJONATHAN L HALBACH, D.O. is a Pediatric Surgery healthcare provider located in PORTSMOUTH, Virginia. NPI 1104150804 is currently active in the NPPES registry. Verify at CMS.
Pediatric Surgery · PORTSMOUTH, VA
Registration Details
- NPI Number
- 1104150804
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2009 (16.889819807231 yrs)
- Last Updated
- Aug 21, 2025
- Licenses
-
0102207283 (VA)0102207283 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
NMRTC PORTSMOUTH620 JOHN PAUL JONES CIRCLEPORTSMOUTH, VA, 23708Browse VA providers · Browse ZIP 23708
- Phone
- 7579532446
- Primary Specialty
-
Pediatric Surgery
2086S0120X
- Additional Specialty
- Pediatric Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.